Obesity and Metabolic Syndrome

Question 1

Normal BMI

Answer 1

18.5-24.9

Question 2

ways to assess obesity

Answer 2

BMI (correlates with amount of excess adipose tissue), measure of regional fat distribution (waist circumference and waist to hip ratio), and weight to height measurements

Question 3

waist circumference a/w inc risk of DM, CVA, CAD, early mortality

Answer 3

more than 102 in men, more than 88 in women

Question 4

adulthood risk factors of obesity

Answer 4

pregnancy, use of OC’s, menopause

Question 5

diastasis recti

Answer 5

separation of rectus abdominis muscle in R and L halves

Question 6

dx evaluation of obesity

Answer 6

BMI, lipid profile, fasting blood sugar, consider evaluation of secondary causes- TSH, cortisol, evaluation of complications of obesity- CXR, ECG, stress test.

Question 7

PE of obesity

Answer 7

BP, BMI, measure waist circumference, skin exam, abdominal exam

Question 8

drug therapy for obesity

Answer 8

catecholaminergic meds for short term use, orlistat- works in GI track to reduce fat absorption

Question 9

metabolic syndrome dx

Answer 9

3 of the following: abdominal obesity (waist circum greater or equal to 102 cm in men, and 88 cm in women), Serum triglycerides over or equal to 150 mg/dL, serum HDL less than 40 in men, less than 50 in women, BP over or equal to 130/85, and FBG over or equal to 100 mg/dL